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Patient Care III > Tobacco Cessation (final review) > Flashcards

Tobacco Cessation (final review) Flashcards

(53 cards)

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1
Q

What cancers are causally linked to smoking? (10)

A
  1. oropharynx
  2. larynx
  3. esophagus
  4. trachea, bronchus, lung
  5. acute myeloid leukemia
  6. stomach
  7. pancreas
  8. kidney & ureter
  9. cervix
  10. bladder
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2
Q

What chronic illnesses are causally linked to smoking? (11)

A
  1. stroke
  2. cataracts, blindness
  3. periodontitis
  4. aortic aneurysm
  5. coronary heart disease
  6. pneumonia
  7. vascular disease
  8. respiratory effects
  9. COPD
  10. hip fractures
  11. reproductive disease
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3
Q

Smokeless tobacco effects in the mouth include: (7)

A
  1. bad breath
  2. irritated & inflamed tissue
  3. oral cancer
  4. increased risk of tooth decay
  5. painful ulcer
  6. teeth staining
  7. periodontal/gum disease
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4
Q

Approximately _____ % of Americans are diagnosed yearly with oral/pharyngeal cancer

_______ of these cases succumb to disease

A

42,000; 8000

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5
Q

____ % of oral/pharyngeal cancer cases can be attributed to tobacco use and/or heavy alcohol consumption

A

75%

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6
Q

75% of oral/pharyngeal cancer cases can be attributed to:

A

tobacco use and/or heavy alcohol consumption

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7
Q

_____% of leukoplakias are caused by tobacco use

A

70

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8
Q

List the cessation options for tobacco cessation:

A
  1. cold turkey
  2. NRTs
  3. medications
  4. behavioral therapy
  5. combination therapy
  6. hypnotherapy
  7. acupuncture
  8. yoga, meditation
  9. herbs
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9
Q

NRTs:

A

nicotine replacement therapy

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10
Q

Behavioral therapy for tobacco cessation include:

A

counselor/coaching & apps

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11
Q

What is combination therapy for tobacco cessation:

A

multiple uses of NRTs, NRTs & medications

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12
Q

Bupropion SR is also known as:

A

Zyban

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13
Q

Bupropion SR is a:

A

smoking cessation aid (prescription)

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14
Q

Give directions for dosage & usage of Zyban:

A

150 mg sustained release tablet; begin taking one week prior to quitting, double dose after three days

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15
Q

What are the advantages of the prescription Zyban?

A
  1. easy to use
  2. can be used with NRT
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16
Q

What are the adverse effects of the prescription Zyban?

A
  1. insomnia
  2. dry mouth
  3. nervousness/difficulty concentrating
  4. rash
  5. constipation
  6. seizures
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17
Q

Varenicline is also known as:

A

chantix (prescription)

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18
Q

Give directions on dosage & usage of Varenicline (chantix):

A

0.5 mg & 1.0 mg tablets
Days 1-3: take one 0.5 mg tablet in morning
Days 4-7: take 0.5 mg tablet BID
Wees 2-12: take 1.0 mg tablet BID

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19
Q

What are the advantages of the prescription Varenicline (Chantix)?

A
  1. easy to use
  2. offers new mechanism of action for patients who have failed with other agents
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20
Q

List the adverse effects of the prescription Varenicline (Chantix):

A
  1. nausea
  2. insomnia
  3. vivid dreams
  4. constipation
  5. vomiting
  6. neuropsychiatric symptoms
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21
Q

Discuss the neuropsychiatric symptoms that may be associated with the prescription Varenicline (Chantix):

A
  1. behavioral changes
  2. aggitation
  3. depression
  4. suicidal ideation or behavior
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22
Q

Nicotine replacement therapy options include:

Study These Flashcards
A
  1. gum
  2. lozenges
  3. transdermal patch
  4. nasal spray
  5. oral inhaler
23
Q

Nicorette & Zonnic are examples of what type of NRT?

24
Q

What are the two dosage options for Nicorette & Zonnic?

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A

2mg for <25 cigs per day

4mg for 25+ cigs per day

25
What are the directions for Nicorette & Zonnic? (2mg or 4mg options= same directions)
Week 1-6: 1 piece every 1-2 hours Week 7-9: 1 piece every 2-4 hours Week 10-12: 1 piece every 4-8 hours
26
What is the maximum amount of Nicorette & Zonnic per day?
24 pieces per day
27
What is an important directio to tell patients when discussing Nicorette or Zonnic?
No food or beverage 15 min before or during use
28
The advantages & disadvantages of Nicorette & Zonnic include:
Advantages: 1. may delay weight gain 2. may satisfy oral cravings Disadvantages: 1. mouth/jaw soreness 2. hiccups 3. dyspepsia
29
Zonnic may be:
gum or lozenge
30
Commit & Zonnic are examples of what type of NRT?
Lozenge
31
What is the dosage options for Commit & Zonnic lozenges?
2 mg for patients who smoke after 30 min of waking 4 mg for patients who smoke within 30 min of waking
32
Give directions for the NRTs Commit & Zonnic (same directions for both dosages)
Week 1-6: 1 lozenge every 1-2 hours Weeks 7-9: 1 lozenge every 2-4 hours Weeks 10-12: 1 lozenge every 4-8 hours
33
What is maximum amount of Commit & Zonnic a patient can take per day?
20 lozenges per day
34
What is an important direction to give patients that utilize Commit or Zonnic lozenges for NRTs:
No food or beverage 15 min before or during use, do not chew or swallow lozenge
35
List the advantages & disadvantages of use of Commit or Zonnic lozenges as NRTs:
Advantages: 1. may delay weight gain 2. may satisfy oral cravings Disadvantages: 1. nausea 2. hiccups 3. cough 4. heartburn 5. headache 6. insomnia
36
Nicoderm CQ is an example of what type of NRT?
Transdermal patch
37
What are the dosage options for the NRT Nicoderm CQ?
-7 mg -14 mg - 21 mg (all 24-hour release)
38
For a patient smoking less than or equal to 10 cigs per day, what are their transdermal patch directions?
14mg/day for 6 weeks 7 mg/day for 2 weeks
39
For a patient smoking more than 10 cigs per day, what are their transdermal patch directions?
21mg/day for 6 weeks 14mg/day for 2 weeks 7mg/day for 2 weeks
40
List the advantages & disadvantages to the NRT transdermal patches (Nicoderm CQ):
Advantages: 1. Provides consistent nicotine for 24 hours 2. easy to use Disadvantages: 1. local skin reaction 2. headache 3. insomnia 4. vivid dreams
41
What are the top three most common NRTs?
-gum -lozenge -transdermal patch
42
Nicotrol NS is an example of what type of NRT?
nasal spray
43
What is the dosage of Nicotrol NS?
0.5 mg metered spray per 50 mcL
44
Describe the dosage for Nicotrol NS:
1-2 doses per hour 8-40 doses per day Maximum of 5 doses per hour
45
For Nicotrol NS one dose=
Two sprays (one per nostril)
46
List the advantages & disadvantages of Nicotrol NS:
Advantages: 1. patients can titrate therapy to help with withdrawal Disadvantages: 1. Nasal/throat irritation 2. rhinitis 3. tearing 4. sneezing 5. headache 6. cough
47
Nicotrol is an example of what type of NRT?
Oral inhaler
48
Describe the dosage of Nicotrol oral inhaler:
10 mg cartridge- delivers 4 mg inhaled nicotine vapor
49
How many cartridges per day can one use of Nicotrol oral inhaler?
6-16 cartridges per day
50
When beginning use of Nicotrol oral inhaler, begin with:
1 cartridge every 1-2 hours
51
The best effects with Nicotrol oral inhaler occur with:
continuo puffing for 20 min
52
List the advantages & disadvantages of the NRT nicotrol oral inhaler:
Advantages: 1. Patients can titrates amount to manage withdrawal 2. mimics hand-to-mouth ritual Disadvantages: 1. mouth/throat irritation 2. cough 3. headache 4. rhinitis 5. dyspepsia
53

Patient Care III (19 decks)

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